Organization
WILLIAM P. RYAN, DMD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM P RYAN DMD (OWNER/DENTIST)
(860) 379-4382
Entity
Organization
Contact information
Practice address
10 HINSDALE AVE, WINSTED, CT 06098-1133
(860) 379-4382
(860) 738-4720
Mailing address
10 HINSDALE AVE, WINSTED, CT 06098-1133
(860) 379-4382
(860) 738-4720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548354012
—
CT
Enumeration date
08/14/2013
Last updated
08/14/2013
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